UMEM Educational Pearls

Category: Cardiology

Title: Just chill out!

Keywords: hostility, cardiovascular disease, acute myocardial infarction, acute coronary syndrome, coronary artery disease (PubMed Search)

Posted: 10/2/2011 by Amal Mattu, MD (Updated: 1/26/2022)
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Hostile behavior appears to be a predictor of ischemic heart disease and myocardial infarction. Prior studies have demonstrated this association, and now one more study has supported this. In short, researchers from Nova Scotia demonstrated that observed hostility was a predictor of ischemic heart disease and myocardial infarction (2-fold), independent of age, sex, Framingham Risk Score, and other psychosocial risk factors.

The key takeaway point of this fun, but validated concept, is that in addition to exercising and eating right, we all just need to relax a bit more. And the next time you have to deal with an angry consultant, just tell him to chill out or he'll die!


Newman JD, et al. Observed hostility and the risk of incident ischemic heart disease. J Am Coll Cardiol 2011;58:1222-1228.